{load_language_text section="account_delete"}
{load_language_text section="buttons" name="button"}

<div id="account">
	<h1>{$txt.heading_delete_account}</h1>
	<h2 class="underline"><img class="png-fix" src="{$tpl_path}img/icons/personal-data.png" alt="" /> {$txt.title_delete_account}</h2>
	<form id="{$FORM_ID}" action="{$FORM_ACTION_URL}" method="{$FORM_METHOD}">
		{$HIDDEN_ACTION_FIELD}
		<fieldset class="blocklabels_150">

			<div class="input">
				<label>{$txt.label_annotation}</label>
				<textarea name="{$GM_COMMENTS_NAME}" class="input-textarea" style="width:300px; height:100px"></textarea>
			</div>

		</fieldset>

		<a href="{$BUTTON_BACK_LINK}" class="button_grey button_set"><span class="button-outer"><span class="button-inner">{$button.back}</span></span></a>
		<a href="{page_url}#" class="button_blue button_set action_submit"><span class="button-outer"><span class="button-inner">{$button.send}</span></span></a>
	</form>
</div>